Jerolyn N Redstrom in Stone Mountain - Occupational Therapist
Jerolyn N Redstrom - NPI 1285723528
Jerolyn N Redstrom is a Occupational Therapist in Stone Mountain, Georgia. Jerolyn N Redstrom practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jerolyn N Redstrom is 1285723528. The last update date is 2007-07-08.
Jerolyn N Redstrom's current location address is 2155 W Park Ct, Stone Mountain, Georgia. You can contact this provider via phone number 7704655084. The mailing address for Jerolyn N Redstrom is 2155 W Park Ct, Stone Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerolyn N Redstrom |
|---|---|
| Address | 2155 W Park Ct, Stone Mountain, Georgia |
| Phone Number | 7704655084 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1285723528 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2155 W Park Ct |
|---|---|
| City | Stone Mountain |
| State | Georgia (GA) |
| Post Code | 300873500 |
| Phone Number | 7704655084 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT003913 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique identifier code issued to Jerolyn N Redstrom by the Centers for Medicare & Medicaid Services?
The Jerolyn N Redstrom has been assigned the NPI (National Provider Identifier) 1285723528. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jerolyn N Redstrom's physical address?
The Jerolyn N Redstrom is physically located at 2155 W Park Ct, in the city of Stone Mountain, GA, with the postal code 300873500.
What is the Jerolyn N Redstrom's specialty and taxonomy code?
The Jerolyn N Redstrom's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285723528 to Jerolyn N Redstrom?
The Centers for Medicare & Medicaid Services originally issued the 1285723528 to Jerolyn N Redstrom on 2006-10-12.
When was the information regarding Jerolyn N Redstrom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerolyn N Redstrom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.